Doctor Name: | SHANNON R GALVIN |
NPI Number: | 1003862400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 9900223 |
Business Practice Address: | 645 N Michigan Ave Suite 900 Chicago, IL - 606112826 |
Business Phone Number: | 3126955090 |
Business Fax Number: | 3126955088 |
Mailing Address: | 645 N Michigan Ave, Suite 900 CHICAGO |
State: | IL |
Postal Code: | 606112826 |
Phone Number: | 3126955090 |
Fax Number: | 3126955088 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 09/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 9900223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |